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Nosocomial transmission of penicillin-resistant Streptococcus pneumoniae

✍ Scribed by Nevio Cimolai; Arthur Cogswell; Robyn Hunter

Publisher: John Wiley and Sons
Year: 1999
Tongue: English
Weight: 87 KB
Volume: 27
Category: Article
ISSN: 8755-6863
DOI: 10.1002/(sici)1099-0496(199906)27:6<432::aid-ppul12>3.0.co;2-1

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✦ Synopsis

Two patients were found to harbor intermediate-level penicillin-resistant Streptococcus pneumoniae in a pediatric hospital setting. For the first patient, the bacterium was isolated from a tracheal aspirate, and for the second patient, a positive blood culture was found a short time after the index case. Two molecular typing techniques (enterobacterial repetitive intergenic consensus sequence polymerase chain reaction, and repetitive sequence-based polymerase chain reaction) demonstrated homology among these isolates, which suggests person-toperson spread. We propose the need for institution-based infection control precautions that will limit the spread of penicillin-resistant pneumococci.

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